MindShift Application Form

PROGRAM APPLICATION

Name

First Name

Last Name

Title

Organization

Email Address

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about this Program?

What appeals to you about being part of the MindShift Program?

WRAY GROUP

Wray Group is a boutique Vancouver-based consultancy for personal and organizational change. They provide services for organization change, team development, leadership coaching, and more. They also provide workshops and keynotes upon request.